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Kritika Satija

Auckland District Health Board, New Zealand

Title: The benefits of early post cardiac surgery recovery program for Tahitian patients

Biography

Biography: Kritika Satija

Abstract

 

Aim: To explore the benefits of early post-operative Cardiac Rehabilitation (CR) for Tahitian patients. Method: Audit of 50 Tahitian patients from Feb 2017-2018 who received early post-operative CR program at ADHB. 62% of the Tahitian patients had their nurse specialist and physiotherapist assessment within 1-3 days post hospital discharge and 50% of the patients were assessed in ≤10 days post cardiac surgery. This was non-Tahitian cardiac patients are seen two weeks post discharge and have to wait for at least 6-8 weeks for physiotherapy assessment. Results: Complications noted during the physiotherapy/nursing assessments included: musculoskeletal complications (12%), wound complications (8%), cardiac and respiratory (10%), suboptimal diabetic control (2%) and multiple issues (>2 issues or true complications) (24%). 62% of the patients still completed the exercise program; however the remaining 38% had multiple reasons for non-completion: Early return to Tahiti (8%), multiple medical complications (12%), cardiac and respiratory complications (6%), musculoskeletal complications (6%), wound infection (4%) and suboptimal diabetic control (2%). No complications were seen in 42%. Conclusion: Assessment and rehabilitation within one to two weeks after discharge from cardiac surgery is beneficial for patients as it allows the multidisciplinary team to diagnose and address complications. However, this is a special cohort and there is no other cardiac rehabilitation program in NZ with which to compare our data.